Provider Demographics
NPI:1134301138
Name:KAUL, POORNIMA (MD)
Entity Type:Individual
Prefix:DR
First Name:POORNIMA
Middle Name:
Last Name:KAUL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3838 CALIFORNIA ST
Mailing Address - Street 2:SUITE 316
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1155
Mailing Address - Country:US
Mailing Address - Phone:415-379-9600
Mailing Address - Fax:415-379-9823
Practice Address - Street 1:3838 CALIFORNIA ST
Practice Address - Street 2:SUITE 316
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1155
Practice Address - Country:US
Practice Address - Phone:415-379-9600
Practice Address - Fax:415-379-9823
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA109085174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist